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HR 5347Introduced

Health Care Efficiency Through Flexibility Act

Introduced September 15, 2025

Summary

Health Care Efficiency Through Flexibility ActThis bill delays certain requirements relating to the reporting of quality measures by accountable care organizations (ACOs) under the Medicare Shared Savings Program. It also requires the Centers for Medicare & Medicaid Services (CMS) to establish a pilot program that tests alternative digital reporting methods for ACOs.The Medicare Shared Savings Program enables ACOs to receive payments for savings stemming from care coordination and management. In 2024, the CMS issued a rule requiring ACOs to report on quality measures using a certain electronic system beginning in 2025. The bill allows ACOs to continue to use prior methods of reporting quality measures through 2029. Additionally, the CMS must establish a pilot program to test other digital reporting methods from 2028-2032; ACOs that participate in the pilot program are exempt from using other methods. The CMS must publicly post an analysis of the program and any related recommendations for using the tested methods.

Timeline

  1. Motion to reconsider laid on the table Agreed to without objection.

  2. On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)

  3. Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4272)

  4. DEBATE - The House proceeded with forty minutes of debate on H.R. 5347.

  5. Considered under suspension of the rules. (consideration: CR H4272-4273)

  6. Mr. Smith (MO) moved to suspend the rules and pass the bill, as amended.

  7. Ordered to be Reported by the Yeas and Nays: 44 - 0.

  8. Committee Consideration and Mark-up Session Held

  9. Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

  10. Subcommittee Consideration and Mark-up Session Held

  11. Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 43 - 0.

  12. Committee Consideration and Mark-up Session Held

  13. Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  14. Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  15. Referred to the Subcommittee on Health.

  16. Introduced in House

  17. Introduced in House

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